Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03323 | Date 05/12/2022 |
| Token No | SM/22-23/4993 05/12/2022 | Serial | 047 |
| Patient Name | Mrs. SIKHA DEBNATH | Contact No | 9433406908 |
| Address | 338/1 R B AVENUE BHADRESWAR 712124 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||